Healthcare Provider Details

I. General information

NPI: 1477931376
Provider Name (Legal Business Name): CAPITOL EDUCATION GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 05/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CRIMSON ST
OPELOUSAS LA
70570-1220
US

IV. Provider business mailing address

140 CRIMSON ST
OPELOUSAS LA
70570-1220
US

V. Phone/Fax

Practice location:
  • Phone: 337-692-9038
  • Fax:
Mailing address:
  • Phone: 337-692-9038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MARCIL SEALS
Title or Position: DIRECTOR
Credential:
Phone: 337-692-9038